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State of Interoperability among Major U.S. Cities


  • Major U.S. cities have high rates of interoperability of health data, but variation exists.
  • Hospitals’ engagement in interoperability improved by more than 50 percent in 8 major U.S. cities since 2015.
  • Hospitals that participate in an HIE and possess the dominant health IT developer’s EHR software within a city
    are more likely to engage in interoperability and have information available than hospitals with neither.
  • Small and independent hospitals in major U.S. cities trail their counterparts in terms of interoperability and providers having information available at the point of care.

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